Individual
DR. JOSE ANGELO LENON DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007-5341
(269) 341-8471
(269) 341-7781
Mailing address
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301089647
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301089647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093913246
—
MI
01
—
1417961137
BCBSM - BRONSON
MI
Enumeration date
07/10/2007
Last updated
11/27/2023
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